Evidence map›Paper›PMID 36507812›Full record

ReviewClinical medicine (London, England)2022

Antiplatelet treatment for acute secondary prevention of non-cardioembolic minor stroke / transient ischaemic attack: an update for the acute physician.

Kailash Krishnan, Zhe Kang Law, Jatinder S Minhas, Philip M Bath, Thompson G Robinson, Nikola Sprigg, Akash Mavilakandy, Timothy J England, David Eveson, Amit Mistri and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in Clinical medicine (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Kailash KrishnanQueen's Medical Centre, Nottingham, UK kailash.krishnan@nuh.nhs.uk.
Zhe Kang LawNational University of Malaysia, Kuala Lumpur, Malaysia.
Jatinder S MinhasUniversity of Leicester, Leicester, UK and Leicester Royal Infirmary, Leicester, UK.
Philip M BathQueen's Medical Centre, Nottingham, UK.
Thompson G RobinsonUniversity of Leicester, Leicester, UK and Leicester Royal Infirmary, Leicester, UK.
Nikola SpriggQueen's Medical Centre, Nottingham, UK.
Akash MavilakandyUniversity of Leicester, Leicester, UK.
Timothy J EnglandQueen's Medical Centre, Nottingham, UK and Royal Derby Hospital, Derby, UK.
David EvesonLeicester Royal Infirmary, Leicester, UK.
Amit MistriLeicester Royal Infirmary, Leicester, UK.
Jesse DawsonUniversity of Glasgow College of Medical, Veterinary and Life Sciences, Glasgow, UK and Queen Elizabeth University Hospital, Glasgow, UK.
Jason P AppletonQueen Elizabeth Hospital, Birmingham, UK and University of Birmingham College of Dental and Medical Sciences, Birmingham, UK.
Leicester Royal Infirmary · GBQueen's Medical Centre · GBNational University of Malaysia · MYQueen Elizabeth Hospital Birmingham · GBUniversity of Glasgow · GBUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute stroke is the leading cause of disability in the UK and a leading cause of mortality worldwide. The majority of patients with ischaemic stroke present with minor deficits or transient ischaemic attack (TIA), and are often first seen by patient-facing clinicians. Urgent evaluation and treatment are important as many patients are at high risk of major vascular events and death within hours to days after the index event. This narrative review summarises the evidence on four antiplatelet treatments for non-cardioembolic stroke prevention: aspirin, clopidogrel, dipyridamole and ticagrelor. Each of these drugs has a unique mechanism and has been tested as a single agent or in combination. Aspirin, when given early is beneficial and short-term treatment with aspirin and clopidogrel has been shown to be more effective in high-risk TIA / minor stroke. This review concludes by highlighting gaps in evidence, including scope for future trials that could potentially change clinical practice.

Indexed as

Brain IschemiaIschemic Attack, TransientPhysiciansStrokeAspirinClopidogrelDrug Therapy, CombinationHumansPlatelet Aggregation InhibitorsSecondary PreventionAspirinClopidogrelPlatelet Aggregation Inhibitorsantiplateletsrecurrent strokestroke preventionstroke risktransient ischaemic attack

Identifiers

PMID36507812
PMCPMC9595021
OpenAlexW4297914149

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.